One in five Americans has an STD and almost half of infections occur in people under 24

It is estimated that one in five Americans has a sexually transmitted infection (STD), a new report found.

Data published by the Centers for Disease Control and Prevention (CDC) shows that there were almost 68 million STDs on a given day (prevalent) and 26 million newly acquired STDs (incidents) in 2018.

In addition, almost 50% of all incident STDs were diagnosed in people between 15 and 24 years of age.

The report also found that STDs acquired that year cost the US healthcare system nearly $ 16 billion in direct medical costs alone.

The CDC says its new estimates are critical to ‘better understanding the scope of STIs in the US’ and that more measures are needed to

New numbers from the CDC estimate that on any given day in the United States there were 67.6 million sexually transmitted infections (STDs) in 2018

New numbers from the CDC estimate that on any given day in the United States there were 67.6 million sexually transmitted infections (STDs) in 2018

Almost half, 45.4%, of all recently acquired infections - for a total of 11.9 million - occurred among people aged 18 to 24 years (above)

Almost half, 45.4%, of all recently acquired infections – for a total of 11.9 million – occurred among people aged 18 to 24 years (above)

An STD, sometimes called a sexually transmitted disease (STD), is an infection transmitted from one person to another through sexual contact via the vaginal, oral or anal route.

Some are curable bacterial infections with a single-dose antibiotic regimen, while others are viral infections that cannot be cured but can be modulated with antivirals.

STIs do not always show symptoms and, if not diagnosed and treated, can have serious health consequences.

Some infections can increase the risk of HIV or cause chronic pelvic pain, pelvic inflammatory disease and even infertility.

Currently, STDs cause about 2.7 deaths per 100,000 people, mainly due to HIV and HPV (human papillomavirus) infections.

For the report, published in the journal Sexually Transmitted Diseases, the CDC focused on eight STDs: chlamydia, gonorrhea, trichomoniasis, syphilis, genital herpes, HPV, sexually transmitted hepatitis B and sexually transmitted HIV.

The number of prevalent infections and incidents was calculated by multiplying each STI per capita estimate by the total resident population estimate.

The results revealed an estimated 67.6 million STDs on a given day.

With a population of approximately 320 million people, the authors say this suggests that about 20% of Americans had an STD at any given time in 2018.

Researchers also found that there were about 26.2 million STD incidents in the United States in 2018

The four most common infections were chlamydia, trichomoniasis, genital herpes and HPV, constituting 97.6% of all STDs on a given day and 93.1% of all newly acquired STDs.

Of these new infections in 2018, about half, or 45.4 percent, were contracted by Americans between the ages of 15 and 24.

“The burden of STDs is impressive,” said Dr. Jonathan Mermin, director of the CDC’s National Center for HIV / AIDS, Viral Hepatitis, STD and TB Prevention, in a statement.

‘At a time when STDs are on the rise, they have come out of the national conversation. Still, STDs are a preventable and treatable national health threat, with substantial personal and economic impact.

New infections are likely to cost the US health care system about $ 16 billion in lifetime medical costs, with most of it related to HIV treatment (above)

New infections are likely to cost the US health care system about $ 16 billion in lifetime medical costs, with most of it related to HIV treatment (above)

Furthermore, these new infections are likely to cost the US health care system an estimated $ 16 billion in lifetime medical costs.

Most of the cost, $ 13.7 billion, is attributed to sexually acquired HIV infections due to lifelong antiviral treatment.

The second most expensive STI was HPV, with about $ 755 million in treatment not only for infection, but also for HPV-related cancers.

Young people aged 15 to 24 are responsible for about 60% of the combined health costs for chlamydia, gonorrhea and syphilis, according to the CDC.

Women account for nearly 75% of the $ 2.2 billion in medical expenses for non-HIV-related STIs, the agency said.

“There are significant human and financial costs associated with these infections, and we know from other studies that cuts in STI prevention efforts will result in higher costs in the future,” said Raul Romaguera, interim director of the CDC’s STD Prevention Division statement.

“Preventing STDs could save billions in medical costs, but more importantly, prevention would improve the health and lives of millions of people.”

EXPLAINED: CHLAMYDIA, GONORRHEA AND SYPHILIS

Chlamydia

What is it?

Chlamydia is a sexually transmitted disease that can infect both men and women.

It comes from a bacterium called chlamydia trachomatis. It is transmitted by contact, via vaginal, anal or oral sex.

If left untreated, it can damage the fallopian tubes and cause infertility. In very rare cases, it can also cause infertility in men.

What are the symptoms?

Most people do not experience symptoms of chlamydia. Doctors recommend doing regular STD tests (urine or cotton swab tests) to detect it.

However, some have some side effects.

Symptoms in women:

  • Abnormal vaginal discharge
  • Burning sensation when urinating
  • Pain in the eyes
  • Pain in the abdomen
  • Pain in the pelvis
  • Pain during sex
  • Vaginal bleeding

Symptoms in men:

  • Discharge of the penis
  • Burning sensation when urinating
  • Pain and swelling in one or both testicles (rarely)

Chlamydia symptoms after anal sex:

  • Ache
  • Discharge
  • Bleeding

How is it treated?

The infection is easily treated with antibiotics.

Doctors usually prescribe oral antibiotics, usually azithromycin (Zithromax) or doxycycline.

Gonorrhea

What is it?

A STD very similar to chlamydia, gonorrhea is also bacterial, spread by contact.

It comes from a bacterium called Neisseria gonorrhoeae.

What are the symptoms?

Women don’t usually see the symptoms, but men do.

When a woman has symptoms, they are very mild and easily mistaken for a bladder infection.

Doctors recommend doing regular STD tests (urine or cotton swab tests) to detect it.

Symptoms in men:

  • Burning sensation when urinating
  • A white, yellow or green discharge from the penis
  • Sore or swollen testicles

Symptoms in women:

  • Burning sensation when urinating
  • Increased vaginal discharge
  • Vaginal bleeding between periods

How is it treated?

Gonorrhea is curable with antibiotics, although health officials fear that this could be the first ‘untreatable’ STD, as the bacteria creates resistance to our standard methods of treatment.

The CDC recommends treating the infection with a combination of two antibiotics: azithromycin and ceftriaxone.

The infection has now become immune to penicillin, tetracycline and fluoroquinolones.

Increasingly, gonorrhea is creating resistance to individual drugs.

Syphilis

What is it?

A chronic bacterial disease, syphilis can be contracted by other means, but it is usually a sexually transmitted disease.

In very rare cases, it can be transmitted through prolonged kisses, as well as the most common routes of transmission: vaginal, anal and oral sex.

It comes from the bacterium Treponema pallidum.

What are the symptoms?

Sufferers develop wounds, although they can often be ignored.

The infection develops in stages.

Stage one:

  • Small, painless wounds (such as ulcers) on the genitals or mouth
  • Appear within 10-90 days after exposure
  • They disappear in six weeks and leave no scar before progressing to stage two

Stage two:

  • Pink rash on the palms and soles
  • Wet groin warts
  • White spots inside the mouth
  • Swollen glands
  • Fever
  • Weight loss
  • All of this disappears without treatment before progressing to stage three

Latent syphilis:

Stage three:

  • Without treatment, it can progress to more serious problems with the heart, brain and nerves
  • Paralysis
  • Blindness
  • Insanity
  • Deafness
  • Impotence
  • Death

How is it treated?

In the early stages, patients can receive an injection of benzathine penicillin G. This will not undo the internal damage, but it will eliminate the infection.

For those who have latent syphilis – and are not sure how long they have had it – doctors recommend three doses of penicillin injection, seven days apart.

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